FEBRUARY 11, 2019
ORLANDO, FL
www.HIMSSConference.org
#EngageHealth
Improve Quality of Life
with Patient Reported Outcomes
Ronald George, Jr., MD, PhD
Division Chief, Rheumatology
Wilmington Health
2 rheumatologists
2 physician assistants
Wilmington
© geology.com
John Cuddeback, MD, PhD
CMIO, American Medical Group Association
Tools used for this quality improvement project:
• Population health analytics platform
• Multi-modal patient outreach and engagement tool—email/website, interactive voice response
Participants: 3 AMGA member organizations
Sponsored by Pfizer
• Above-brand initiative to implement clinical guidelines for patients with rheumatoid arthritis—
emphasis on treat-to-target
Rheumatoid Arthritis
RAPID3 Interpretation
00 – 03 = near remission
04 – 06 = low severity
07 – 12 = moderate severity
13 – 30 = high severity
On your own
With provider
Time with Provider
Identify patients in
pop health platform
Provider
review
Patient orientation
• RAPID3
• interim monitoring
concept
Monthly automated outreach
(customized per provider)
• phone
• email  website
Patient’s RAPID3
results and trends
available for office visit
Track program performance
and population trends
Notify provider or
care team
Notification
criteria met
May decide
to contact patient
RAPID3 results
interfaced to EHR
www.HIMSSConference.org
#EngageHealth
Ronald George, MD, PhD
Wilmington Health
John Cuddeback, MD, PhD
AMGA
jcuddeback@amga.org